TY - JOUR T1 - Alveolar echinococcosis in the liver of an adolescent boy JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 407 LP - 407 DO - 10.1136/archdischild-2018-314990 VL - 104 IS - 4 AU - Ines Mack AU - Barbara Wildhaber AU - Veit Vassen AU - Nicole Ritz Y1 - 2019/04/01 UR - http://adc.bmj.com/content/104/4/407.abstract N2 - A 12-year-old farmer’s boy presented with 4 weeks of left flank pain. On examination, a palpable mass below the right costal margin was noted. Investigations, including full blood count, C-reactive protein, and kidney and liver tests, were normal, except for mild eosinophilia (0.53×109/L). Immunological work-up was normal including immunoglobulins, lymphocyte subsets and serology for HIV. Ultrasonography and abdominal CT revealed an extensive lesion originating from segment V/VI to segment VIII with encasement and stenosis of the portal vein (figure 1). The boy reported contact with animals on the family’s farm, such as dogs … ER -